Smiles On The Go Rdh, Llc | |
1 Chelsea Ln East Granby CT 06026-9634 | |
(860) 380-0830 | |
Not Available |
Full Name | Smiles On The Go Rdh, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1 Chelsea Ln, East Granby, Connecticut |
Authorized Official Name and Position | Rosa Clark (OWNER) |
Authorized Official Contact | 8603800830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smiles On The Go Rdh, Llc 653 College Hwy P.o. Box 885 Southwick MA 01077-0885 Ph: (860) 380-0830 | Smiles On The Go Rdh, Llc 1 Chelsea Ln East Granby CT 06026-9634 Ph: (860) 380-0830 |
NPI Number | 1013472414 |
---|---|
Provider Enumeration Date | 02/10/2019 |
Last Update Date | 02/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013472414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |